NPI | 1801483490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 027970) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 027970) |
Enumeration Date | 2020-12-29 |
Last Update Date | 2022-02-28 |