| NPI | 1255574026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013088-1) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 013088-1) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-06-13 |