| NPI | 1316367881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0004978) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030906) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |