NPI | 1942389960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010833) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00292700) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2016-04-05 |