| NPI | 1831401983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4011) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2016-11-21 |