| NPI | 1003911538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 010780) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010780) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-07-27 |