| NPI | 1427638089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD PA200002256) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200002256) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-09-24 |