| NPI | 1437368859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 011785-1) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-08-05 |