| NPI | 1275215006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 030279) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-07-10 |