| NPI | 1144872177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 3832) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3832) |
| 363AM0700X Physician Assistant, Medical (Licence: TN 3832) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2020-01-10 |