NPI | 1336167709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011070-1) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 011070-1) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-09-29 |