| NPI | 1447324017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 007311-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA15418) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-04-01 |