| NPI | 1427071927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001317) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 684) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-01-18 |