| NPI | 1235503897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006258) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031213) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-10-25 |