| NPI | 1467145094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 030904) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-11-01 |