| NPI | 1780650655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016949) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 2474) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-02-09 |