NPI | 1841522562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 003022) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 003022) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2019-12-03 |