NPI | 1881733103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001391) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 007274-1) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2010-12-02 |