| NPI | 1013665835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 032092) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008946) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-09-16 |