| NPI | 1013538701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008465) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031839) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-12-30 |