| NPI | 1184094096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109064) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024988) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2025-01-07 |