| NPI | 1356415889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006670) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006670-1) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-05-26 |