| NPI | 1235242546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 022059) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030275) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C0003335) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-09-10 |