NPI | 1689557860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 034290) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-08-18 |