| NPI | 1366482333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 005008) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 5008) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-07-05 |