| NPI | 1427380799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020986) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 67 001843) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2022-07-21 |