| NPI | 1285414730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA200002041) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-10-14 |