| NPI | 1801915400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1855) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 008418-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-07-22 |