| NPI | 1952610974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 312939) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 63936) |
| 363A00000X Physician Assistant (Licence: MS 373) | |
| 363A00000X Physician Assistant (Licence: AL 723) | |
| 363A00000X Physician Assistant (Licence: FL 9118169) | |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2024-02-05 |