NPI | 1235318247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 012212) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003368) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2015-07-07 |