| NPI | 1023308269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030725) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004391) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-08-10 |