NPI | 1366779415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023261) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9105081) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2020-06-26 |