| NPI | 1366518508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001919) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 26542) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-04-26 |