| NPI | 1851459820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 009989-1) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 009989-01) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-10-16 |