NPI | 1265849517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017729) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 017729) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2021-05-19 |