| NPI | 1578868378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024981) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9105854) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-11-23 |