| NPI | 1255998134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 024505) |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2023-08-31 |