| NPI | 1083861918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053493) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003172) |
| 363A00000X Physician Assistant (Licence: DC PA030651) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2021-01-16 |