| NPI | 1376337022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 3008) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 3008) |
| 363A00000X Physician Assistant (Licence: NY 033899) | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-06-29 |