NPI | 1366541781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010892) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 10892) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2023-07-05 |