| NPI | 1427768605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 0000000) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NY 0000000) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |