| NPI | 1760025738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 024320) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 024320) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-11-21 |