| NPI | 1649786880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200001297) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0008794) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2023-02-14 |