| NPI | 1215260294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030628) |
| 363A00000X Physician Assistant (Licence: VA 0110005678) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2018-03-17 |