NPI | 1245707793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 023015) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2018-12-18 |