NPI | 1447824180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114369) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 028325) |
Enumeration Date | 2021-05-17 |
Last Update Date | 2022-06-24 |