| NPI | 1336667948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 021252) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 21252) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2023-07-07 |