| NPI | 1023664125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 4132) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-03-27 |