| NPI | 1477382836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 032147) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009956) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-08-12 |