| NPI | 1790267094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 022435) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-06-24 |