| NPI | 1588091607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C005254) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030981) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2022-12-16 |