| NPI | 1447778006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200002038) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-10-09 |