| NPI | 1427712272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6977) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15099) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2025-02-06 |