| NPI | 1720326499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 015891-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 006164) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2025-10-21 |