| NPI | 1578998621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024618) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 2966) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2025-06-09 |