| NPI | 1144844218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027699) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA58140) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-03-28 |