NPI | 1346726866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022246) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006884) |
363A00000X Physician Assistant (Licence: FL PA9117538) | |
363AM0700X Physician Assistant, Medical (Licence: NY 022246) | |
363AS0400X Physician Assistant, Surgical (Licence: NY 022246) | |
Enumeration Date | 2018-07-17 |
Last Update Date | 2023-07-13 |