| NPI | 1851682579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0004442) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030730) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2022-07-21 |