| NPI | 1295333466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 5708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 025734) |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2022-07-29 |