| NPI | 1639453988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 015101) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 23 015101) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-03-17 |