| NPI | 1033347935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-005532) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004002) |
| 363A00000X Physician Assistant (Licence: DC PA030605) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-12-21 |