| NPI | 1437778677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4901) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CT 4901) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-09-14 |