| NPI | 1841476470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 012308-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 861438) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2024-04-15 |