| NPI | 1376630731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 003327) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052698) |
| 363A00000X Physician Assistant (Licence: CT 003327) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 003327) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-07-18 |