| NPI | 1427146745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 005363) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 005363) |
| 363A00000X Physician Assistant (Licence: NY 5363) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-01-09 |