| NPI | 1396256525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021253) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 58272) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-05-22 |