NPI | 1447295662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 009373) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9562) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2020-02-21 |