| NPI | 1346678414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA5232) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 017057-1) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2023-11-20 |