| NPI | 1497230320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200002132) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111627) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2026-08-04 |