| NPI | 1952812174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA031645) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006646) |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2020-03-24 |