| NPI | 1124285390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030553) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002728) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2025-05-14 |