| NPI | 1518568542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117323) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 025764) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: NY 25764) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2023-11-06 |