NPI | 1447441985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 010589) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010589) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2010-03-15 |