NPI | 1912394677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004901) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031127) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2023-07-20 |