| NPI | 1437971165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 6958) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 390200000X) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-01-27 |