NPI | 1487993002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016363) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 016363) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2024-02-09 |