NPI | 1780810325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013276) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 013276) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2014-07-15 |