| NPI | 1235242488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C02453) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA30198) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-09-18 |