| NPI | 1932290269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3514) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 3514) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 010830) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-01-19 |