NPI | 1881939114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024730) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-11-27 |
Last Update Date | 2020-02-25 |