| NPI | 1285926014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014705) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0040-14157) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2024-04-30 |