| NPI | 1437704699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023514) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12760) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-09-13 |