| 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 |