| NPI | 1568097533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027801) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.006306RX) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-06-28 |