| NPI | 1609218668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 23.002931) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CT 70.011421) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-27 |