| NPI | 1760977888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 0221261) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 0221261) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2021-10-28 |