| NPI | 1265082432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CT 4598) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 4598) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-08-27 |