| NPI | 1063142834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12144) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 12144) |
| 208M00000X Hospitalist (Licence: GA 12144) | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-07-15 |