| NPI | 1366866493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 017202) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007544) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-07-30 |