| NPI | 1386834109 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 033855) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA002840L) | 
| 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00260400) | |
| Enumeration Date | 2007-07-27 | 
| Last Update Date | 2025-07-17 |