| NPI | 1164896569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031570) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7794) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-01-11 |