| NPI | 1427552934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117297) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 021917) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-12-27 |