| NPI | 1841829116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008212) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110009717) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-02-20 |