| NPI | 1699160911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05718) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031116) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2016-08-09 |