| NPI | 1861878027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07516) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031170) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2019-01-08 |