| NPI | 1285734053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 009681) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003266) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-10-29 |