| NPI | 1497832125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006573-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006573) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 006573) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 006573-1) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-10-26 |