| NPI | 1073829578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 002834) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 002834-1) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2024-12-03 |