| NPI | 1699984021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C01857) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA263) |
| 363A00000X Physician Assistant (Licence: NY 011838) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-07-17 |