| NPI | 1871868646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004721) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003756) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2021-08-31 |