NPI | 1568985521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021086) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 021086) |
Enumeration Date | 2017-07-21 |
Last Update Date | 2017-07-21 |