| NPI | 1538215900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 009531) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD1456) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-09-30 |