NPI | 1114163771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 13042) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 13042) |
Enumeration Date | 2008-12-31 |
Last Update Date | 2023-07-07 |