| NPI | 1396434346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 030311) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-10-27 |