| NPI | 1225364557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 2333) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 002333) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2011-03-11 |