NPI | 1366812349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 019154) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 19154) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2023-07-07 |