| NPI | 1154334217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030429) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002509) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2010-03-12 |