| NPI | 1194022889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 002541) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 002541) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-03-22 |