| NPI | 1922581438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031518) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: VA 0110006212) | |
| 363A00000X Physician Assistant (Licence: MD C0006973) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-06-08 |