| NPI | 1982074100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 019078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 019078) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-08-11 |