| NPI | 1669135976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 02751701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 27517) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-07-17 |