| NPI | 1528547346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006273) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001787) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-10-10 |