| NPI | 1497239842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 022601) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 22601) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2026-03-11 |