| NPI | 1811348642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NY 019712) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 19712) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-07-03 |