| NPI | 1780170696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-007113) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007568) |
| 363A00000X Physician Assistant (Licence: DC PA200001387) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-03-16 |