| NPI | 1710761473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001726) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009027) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |