| NPI | 1154939866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025334) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 1154939866) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2025-04-11 |