| NPI | 1548786171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 021438) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 021438) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 21438) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-07-03 |