| NPI | 1093944498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06691) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013333) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2023-05-11 |