| NPI | 1730482035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA030719) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C05672) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2021-08-12 |