| NPI | 1982288023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027068-01) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-06-25 |