| NPI | 1326172321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 6264) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 011338) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-12-13 |