| NPI | 1316188832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 2247) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 013070) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2016-10-25 |