| NPI | 1952822082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7837) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020924) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-06-21 |