NPI | 1457792954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016711) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2022-10-27 |