| NPI | 1245017763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200002075) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-11-14 |