| NPI | 1093138000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 017255-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 017255) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2025-09-04 |