| NPI | 1245429562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001254) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003607) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2025-05-22 |