| NPI | 1437591542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016705) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 016705) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2021-05-20 |