| NPI | 1588724132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 011668) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 11668) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-07-21 |