| NPI | 1801503669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001984) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA064116) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-01-15 |