| NPI | 1114546363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 027045-01) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 027045-01) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-03-04 |