| NPI | 1548367329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110840846) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA30101) |
| 363A00000X Physician Assistant (Licence: MD C0002137) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-08-27 |