| NPI | 1982492575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 7333) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9120194) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2026-06-09 |