| NPI | 1891287173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06864) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001214) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2021-09-16 |