| NPI | 1346843695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA005376) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA061924) |
| 363A00000X Physician Assistant (Licence: DC CA210001370) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-11-18 |