| NPI | 1972525129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 008777) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 8777) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-07-05 |