| NPI | 1336421403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030770) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003515) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2018-12-04 |