| NPI | 1437450368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016244) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1885) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2013-09-22 |