| NPI | 1841533064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016510) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004638) |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2019-11-23 |