| NPI | 1982275921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 026986) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 26986) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2023-07-07 |