| NPI | 1508977356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 008427) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 008427-1) |
| 207X00000X Orthopaedic Surgery (Licence: NY 008427) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-12 |