NPI | 1275304248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 033992) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 033992) |
Enumeration Date | 2024-01-10 |
Last Update Date | 2025-08-01 |