| NPI | 1326452558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017274-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056657) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00326300) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |