| NPI | 1700022480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0003873) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030565) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2019-09-23 |