| NPI | 1548773401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 021625-1) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2022-08-19 |