| NPI | 1811264468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA031014) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0005303) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2024-02-28 |