| NPI | 1194741983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011157-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY PA 011157-1) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-09-19 |