| NPI | 1316900939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002017) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002017) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C0002343) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA30239) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-09-27 |