| NPI | 1447856505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025424) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 25424) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-07-03 |