| NPI | 1457538894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0001661) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA30117) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-05-26 |