| NPI | 1144722398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021817-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC PA3229) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2024-11-04 |