| NPI | 1528145711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 007482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 007482-1) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-07-10 |