| NPI | 1043420649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006835) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030472) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-07-21 |