| NPI | 1932736964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10299) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 025971) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-05-13 |