| NPI | 1467844282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116350) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018357) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2023-04-26 |