| NPI | 1659789253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 030532) |
| 207X00000X Orthopaedic Surgery (Licence: NY 030532) | |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2023-10-19 |