NPI | 1487728309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 00008191) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363AM0700X Physician Assistant, Medical (Licence: NY 009874) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2024-02-13 |