| NPI | 1023574043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023796) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9119482) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2025-09-03 |