NPI | 1982840328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020744) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20143) |
Enumeration Date | 2009-01-06 |
Last Update Date | 2022-07-21 |