NPI | 1205347259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021556) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-10-17 |
Last Update Date | 2025-07-27 |