| NPI | 1326344664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030722) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0004232) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2015-06-08 |