| NPI | 1205863214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 010739) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 10739) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-05-15 |