| NPI | 1457758377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021980) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005607) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-10-25 |