NPI | 1174249049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029090) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 029090) |
Enumeration Date | 2022-10-12 |
Last Update Date | 2022-11-17 |