| NPI | 1194390195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 031254-01) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-02-14 |