NPI | 1285102541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 022969) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 022969) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2018-11-05 |