| NPI | 1356658843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0110003357) |
| 363A00000X Physician Assistant (Licence: FL PA9105583) | |
| 363A00000X Physician Assistant (Licence: DC PA030693) | |
| 363A00000X Physician Assistant (Licence: MD C0004557) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2022-07-21 |