| NPI | 1265461776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 0087461) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 8746) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-07-06 |