| NPI | 1306932066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 006112) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 6112) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-07-05 |