| NPI | 1942836895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024832) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 024832) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 024832) | |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2023-04-10 |