| NPI | 1265294938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 031786) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00844400) |
| 363A00000X Physician Assistant (Licence: PA MA065308) | |
| 363A00000X Physician Assistant (Licence: PA OA006775) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-04-26 |