| NPI | 1437654902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 035611) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005521RX) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2026-07-29 |