| NPI | 1518499383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 310700) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 310700) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-07-07 |