| NPI | 1508574310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6651) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 029281) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-09-27 |