| NPI | 1528496841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017075) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 17075) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2023-06-29 |