| NPI | 1124373485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 004475) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 004475) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2025-08-18 |