NPI | 1194390195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 031254-01) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2024-02-14 |