| NPI | 1770986150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY P94542) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 18193) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2024-01-26 |