| NPI | 1720448186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058126) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031877) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2024-09-05 |