| NPI | 1700187432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 014341) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 014341) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 014341) | |
| 208M00000X Hospitalist (Licence: NY 014341) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 014341) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2022-08-11 |