| NPI | 1932229929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 001572) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 001572) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2021-11-02 |