| NPI | 1841469814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 007276) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DC PA 030528) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 007276) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-00643) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-11-03 |