NPI | 1871745133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY P67542) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 013067) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2011-11-14 |