| NPI | 1750921581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 026361) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-10-04 |