| NPI | 1235435835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 2558) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4125) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2015-04-01 |