| NPI | 1295968451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA031371) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104981) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2018-12-07 |