| NPI | 1144367749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7277) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030340) |
| 363A00000X Physician Assistant (Licence: NY 013802) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-06-11 |