NPI | 1326678426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026963) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA061358) |
Enumeration Date | 2020-01-17 |
Last Update Date | 2025-03-18 |