| NPI | 1285376749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 030663) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.008925) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-01-12 |