| NPI | 1346790029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200002485) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06247) |
| 363A00000X Physician Assistant (Licence: VA 110011836) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2026-06-22 |