| NPI | 1811509904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 5118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 025469) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-02-21 |