| NPI | 1407295215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004272) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031036) |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110-004272) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2024-03-06 |