| NPI | 1548469497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 001912) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-01-13 |