NPI | 1942429584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 2518) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 000062-1) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2008-11-12 |