| NPI | 1184140667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 021170-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 021170-1) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |