NPI | 1891165288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 019070) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019070) |
Enumeration Date | 2015-09-29 |
Last Update Date | 2023-12-01 |