| NPI | 1194058107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CT 2303) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 002303) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2018-02-12 |