| NPI | 1396997110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC TL3251) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003081) |
| 363A00000X Physician Assistant (Licence: DC PA030560) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2019-06-17 |