| NPI | 1598250177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022124) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062132) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2026-02-02 |