NPI | 1912564287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023668) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 023668) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2025-03-12 |