| NPI | 1336537562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 021218-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108335) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2024-08-12 |