| NPI | 1023529252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031692) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0008009) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-06-17 |