| NPI | 1639644230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MA060249) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 030697) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-08-14 |