NPI | 1417763665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 033445) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-12-03 |
Last Update Date | 2025-06-17 |