| NPI | 1023043320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011209) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 011209) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-01-16 |