| NPI | 1881866598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 003154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013611) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2019-05-24 |