| NPI | 1922118348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 010480) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 10480) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-05 |