| NPI | 1437217346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA134) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0001262) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-04-15 |