NPI | 1487463287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 23.006951) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2025-01-06 |
Last Update Date | 2025-01-21 |