| NPI | 1982267415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-006627) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0008819) |
| 363A00000X Physician Assistant (Licence: DC PA200001600) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-10-10 |