| 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 |