| NPI | 1437578275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-005496) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031259) |
| 363AS0400X Physician Assistant, Surgical (Licence: GA 7134) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-10-03 |