| NPI | 1427325943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004751) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030806) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2023-11-28 |