| NPI | 1417460833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 085000243) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 085000243) |
| 363A00000X Physician Assistant (Licence: NY 085000243) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 085000243) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085000243) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |