NPI | 1720019466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 022418-01) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 02241801) |
363A00000X Physician Assistant (Licence: FL PA2597) | |
363A00000X Physician Assistant (Licence: ME pa1684) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2025-05-30 |