| NPI | 1437280633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA747) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110001974) |
| 363A00000X Physician Assistant (Licence: DC PA030371) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-08-04 |