NPI | 1306210216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 019235) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2021-11-18 |