NPI | 1427146745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 005363) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 005363) |
363A00000X Physician Assistant (Licence: NY 5363) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2023-05-15 |