| NPI | 1326100322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010306-1) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-27193) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-05-06 |