| NPI | 1184050551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005795) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030957) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-02-07 |