| NPI | 1588643472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024817) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ MP00218800) |
| 363A00000X Physician Assistant (Licence: CT 001613) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2024-08-23 |