| NPI | 1881888618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029108) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 6143) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2024-02-01 |