NPI | 1629850763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 031029) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 031029-01) |
Enumeration Date | 2023-10-13 |
Last Update Date | 2025-05-14 |