| NPI | 1144673443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031919) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06295) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-02-02 |