| NPI | 1568408458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 009009) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 9009) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-03-21 |