| NPI | 1437189719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 008869) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 8869) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-07-07 |