NPI | 1740742980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 23585) |
Enumeration Date | 2019-04-05 |
Last Update Date | 2024-12-02 |