| NPI | 1730718321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025986) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 025986) |
| 207P00000X Emergency Medicine (Licence: NY 025986) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 025986) | |
| 363A00000X Physician Assistant (Licence: TX PA13511) | |
| 363A00000X Physician Assistant (Licence: IL 085007702) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-08-25 |