NPI | 1285956151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4381) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00222900) |
363AM0700X Physician Assistant, Medical (Licence: NY 013440) | |
Enumeration Date | 2010-02-19 |
Last Update Date | 2024-05-14 |