| NPI | 1093304594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026397-01) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 00000000000) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2022-09-27 |