| NPI | 1356839849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06863) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031663) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-12-07 |