| NPI | 1699448878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 026869) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207R00000X Internal Medicine (Licence: NY 26869) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2026-07-07 |