| NPI | 1528434362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA031576) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD c0005859) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2019-05-10 |