| NPI | 1477725042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CT 001934) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001934) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2024-03-04 |