| NPI | 1437190949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 009601) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 9601) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-07-05 |