| NPI | 1295212371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 4798) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 022261) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2022-02-02 |