| NPI | 1043769326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 020181) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15983) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2025-02-17 |