| NPI | 1356711949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019079-1) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 019079) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 019079) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 019079) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2019-09-24 |