| NPI | 1023104783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA30232) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06872) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-11-11 |