NPI | 1295038024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00835100) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 014288) |
Enumeration Date | 2010-12-16 |
Last Update Date | 2024-05-08 |