| NPI | 1063824894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 0010-07243) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07243) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2025-05-16 |