| NPI | 1336625243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 022181) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-03-02 |