| NPI | 1497766133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002542) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030372) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-05-02 |