NPI | 1326681628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023852) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-10-21 |
Last Update Date | 2020-09-22 |