| NPI | 1427869171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110011232) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC 200002263) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-10-10 |