| NPI | 1346481983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 3315) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00213100) |
| 363A00000X Physician Assistant (Licence: CT 3315) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2022-11-25 |