| NPI | 1447741954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 033950) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 324327) |
| 363A00000X Physician Assistant (Licence: IL 085.006576) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-10-17 |