| NPI | 1801351978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-007718) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031960) |
| 363A00000X Physician Assistant (Licence: FL PA9112215) | |
| 363A00000X Physician Assistant (Licence: MD C0007125) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-04-26 |