| NPI | 1871549048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 010607) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 010607-1) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-01-05 |