| NPI | 1477492288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 034965) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9120934) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-03-26 |