| NPI | 1891097317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014385) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: NY 014385) |
| Enumeration Date | 2010-12-04 |
| Last Update Date | 2019-01-30 |