| NPI | 1295277598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 020338) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-06-10 |