| NPI | 1053413385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002230) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA200001743) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C0009044) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2025-08-14 |