| NPI | 1689912008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 016303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 16303) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2023-07-07 |