| NPI | 1114521077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 025993) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2021-04-14 |