NPI | 1598877151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 677) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: NY 004946-1) | |
363A00000X Physician Assistant (Licence: FL PA9104420) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-09-06 |