| NPI | 1992476170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027367) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 27367) | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-07-17 |