| NPI | 1437511250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031356) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006085) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-04-04 |