NPI | 1114597267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026734) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 26743) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2023-07-07 |