| NPI | 1982743373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 001336-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330447-1) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |