| NPI | 1124550983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020717-1) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: NY 020717) |
| 363A00000X Physician Assistant (Licence: CT 0038009) | |
| 363AM0700X Physician Assistant Medical (Licence: CT 3809) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2019-04-23 |