NPI | 1366482333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 005008) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 5008) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2023-07-05 |