| NPI | 1992364863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025279) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 25279) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-07-03 |