| NPI | 1235862939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 028461) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 28461) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-07-22 |