NPI | 1730380767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 006424) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 006424) |
363A00000X Physician Assistant (Licence: NY 006424) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2025-09-11 |