| NPI | 1790301174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024994) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 024994) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-09-06 |