| NPI | 1568018588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023757-01) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 023757) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-06-27 |