NPI | 1740487420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015338) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014485) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2014-10-02 |