| NPI | 1700433265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 034188) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111852) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2026-03-18 |