| NPI | 1033555438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023317) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022439-1) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2019-06-18 |