| NPI | 1013317262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 033838) |
| Additional Taxonomies | 208VP0000X (Licence: NY 033838) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY MC3343009) | |
| 207X00000X Orthopaedic Surgery (Licence: MD C07454) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2025-11-14 |