| NPI | 1154493823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 005316) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 5316) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-07-03 |