| NPI | 1598439432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026964) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 11370) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2025-06-03 |