| NPI | 1336186550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 021964-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV pa-980) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2023-11-29 |