| NPI | 1629622451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023760) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 23760) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-06-30 |