| NPI | 1588987895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 012669) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 12669) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2023-10-04 |