| NPI | 1023169224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022947) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50002529) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-05-23 |