| NPI | 1003442260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025296) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 025296) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2022-06-27 |