| NPI | 1144556432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004774) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030635) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2012-10-23 |