| NPI | 1528611852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023766) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001879) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-05-29 |