NPI | 1891499323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 3168349) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1207141) |
Enumeration Date | 2023-03-28 |
Last Update Date | 2025-03-04 |