NPI | 1205376597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020588) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00424500) |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-03-06 |