| NPI | 1427602739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA065040) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 023743) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2026-05-21 |