| NPI | 1871369702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 032117) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2025-09-25 |