NPI | 1942538350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013703) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA08686) |
Enumeration Date | 2009-11-23 |
Last Update Date | 2014-07-31 |