| NPI | 1366900797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001933) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006556) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-11-13 |