| NPI | 1598007858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 002879) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016425-1) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |