| NPI | 1891256186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 5939) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CT 5939) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-11-08 |