| NPI | 1457933780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 026440) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-05-01 |