| NPI | 1225112089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003415) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030460) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-09-18 |