| NPI | 1417403452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020172-01) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020172) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-01-25 |