| NPI | 1851857940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 024687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 024687) |
| 363A00000X Physician Assistant (Licence: NY 024687) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-10-23 |