| NPI | 1326678426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026963) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA061358) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2025-03-18 |