| NPI | 1497071401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04816) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC pa030667) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-07-28 |