NPI | 1740366673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 011474-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 011474) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-04-02 |