| NPI | 1730304635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 023338) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19120) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-07-10 |