NPI | 1932152303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010066-1) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 010066-1) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-06-12 |