| NPI | 1932578473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117987) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019022) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-07-11 |