| NPI | 1689033722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029844) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-005255) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2026-03-26 |