| NPI | 1245427095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 012021) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 12021) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-07-06 |