| NPI | 1740487420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015338) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014485) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2014-10-02 |