| NPI | 1669902078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 020879) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 20879) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-06-29 |