| NPI | 1285998757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2135) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003096) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-12-18 |