NPI | 1942709357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 021821) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2021-12-06 |