| NPI | 1285009993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06818) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031456) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2025-08-08 |