| NPI | 1801217294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 018856) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107299) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2015-10-16 |