| NPI | 1437497138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030907) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2023-09-21 |