| NPI | 1578002887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 009363-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3782) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2022-07-10 |