| NPI | 1225435431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 018231) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA14870) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2026-02-19 |