| NPI | 1225642580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9121430) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 025210-01) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2026-06-12 |