| NPI | 1467007377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12505) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 023809) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2022-09-02 |