NPI | 1992843908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 002129) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011577) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2016-06-09 |