| NPI | 1720427479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2603) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030784) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2018-11-27 |