NPI | 1144547126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 002407) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013829-1) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2017-04-06 |