| NPI | 1730232869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 007790) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 7790) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2023-06-29 |