| NPI | 1447520051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015424) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2014-06-17 |