| NPI | 1124226147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002293) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA30173) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-06-18 |