| NPI | 1316568249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200001236) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-04-23 |