| NPI | 1801496377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 028240) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200002078) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2025-01-09 |