NPI | 1508338187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023053) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-2312) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2022-10-06 |