| NPI | 1447400460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031086) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD T0003831) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-06-17 |