| NPI | 1235459983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA3963) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT PA3963) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2024-10-02 |