| NPI | 1669584777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 000741) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 000741) |
| 207R00000X Internal Medicine (Licence: CT 000741) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-02 |