| NPI | 1346335866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041438) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-02-28 |