| NPI | 1982013793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-004616) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031599) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2022-09-09 |