| NPI | 1316775018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 032299) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 1221842) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-11-25 |