| NPI | 1326484106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021489) |
| Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: NY R000195) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2021-05-10 |