NPI | 1184738056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 007748-1) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 7748) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-07-05 |