NPI | 1144844218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027699) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA58140) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2022-03-28 |