| NPI | 1750650073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004340) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030814) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2023-10-18 |