| NPI | 1427415371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031358) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031263) |
| Enumeration Date | 2016-01-23 |
| Last Update Date | 2020-05-11 |