| NPI | 1437542412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 003987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 003987-1) |
| 208000000X Pediatrics (Licence: NY 003987-1) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 003987-1) | |
| 208D00000X General Practice (Licence: NY 003987-1) | |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2021-06-17 |