| NPI | 1437635943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022156-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 59874) |
| 363A00000X Physician Assistant (Licence: FL 9111422) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-11-13 |