| NPI | 1427660810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 027304-01) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-12-20 |