| NPI | 1518618594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 027851) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 27851) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-07-17 |