| NPI | 1821665803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110-007970) |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA20000016) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-12-01 |