| NPI | 1164148201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2022040393) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2022040393) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-12-06 |