| NPI | 1710093869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 000593) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-09-17 |