| NPI | 1497922751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 032694) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03526) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-10-10 |