| NPI | 1467828590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114659) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031148) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2021-08-13 |