| NPI | 1275683351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NY 012808) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NJ 00233000) |
| 363AS0400X Physician Assistant Surgical (Licence: FL PA9105480) | |
| 208M00000X Hospitalist (Licence: FL PA9105480) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-07-09 |