NPI | 1760446801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 007048) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 0070481) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2008-10-22 |