| NPI | 1952522310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA030419) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002210) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |