| NPI | 1346010055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 102609) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 23.006954) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2026-06-01 |