| NPI | 1629599915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DC PA200001188) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1319) |
| 363A00000X Physician Assistant (Licence: DC PA200001188) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-02-29 |