| NPI | 1033515812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 5315) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 18206) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2024-11-19 |