NPI | 1538380035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00502) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011878) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2011-08-25 |