| NPI | 1013057421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006694-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 006694) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-10-23 |