| NPI | 1093289332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031532) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD c0006963) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2023-02-13 |