| NPI | 1235872375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110008892) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA200002130) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2026-01-27 |