| NPI | 1033432877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054872) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013856) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2014-01-07 |