| NPI | 1093703365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 74280) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 74280) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9102677) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-08-12 |