| NPI | 1396707444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030346) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 011002084) |
| 363A00000X Physician Assistant (Licence: MD C03002) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |