| NPI | 1295325736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 03175801) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: FL 9113982) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-10-29 |