| NPI | 1679713697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA030481) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003308) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2026-01-27 |