| NPI | 1740434885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003829) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030826) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2012-04-19 |