| NPI | 1871068411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 5016) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9117331) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-10-27 |