| NPI | 1144763798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001295) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54034) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-02-06 |