| NPI | 1427431840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 3361) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 3361) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-07-27 |