| NPI | 1205336351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 032432) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059694) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2025-02-20 |