| NPI | 1285951806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 271027) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 271027) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-07-07 |