| NPI | 1053391078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD C03293) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003293) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2017-07-18 |