| NPI | 1669605481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 013423) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 13423) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2023-07-06 |