NPI | 1215327853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9108554) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL PA9108554) |
363AM0700X Physician Assistant, Medical (Licence: FL PA9108554) | |
Enumeration Date | 2015-02-04 |
Last Update Date | 2025-06-27 |