| NPI | 1700850021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 000442) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CT L16014) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-10-28 |