| NPI | 1174034730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021528-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 021528) |
| Enumeration Date | 2017-10-22 |
| Last Update Date | 2023-05-09 |