NPI | 1306940721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 008318-1) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103132) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2010-10-14 |