| NPI | 1851588552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 012147) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY P61084) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2011-03-23 |