| NPI | 1184269912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 024405) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2024-03-08 |