| NPI | 1932188802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019697) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 000824) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-02-20 |