| NPI | 1427474220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 017233) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2020-02-28 |