| NPI | 1851561559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 012114) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2025-06-02 |