| NPI | 1417306002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019716) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-10-23 |