| NPI | 1457887408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024940) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 1142000) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-08-07 |