| NPI | 1235804972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062751) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MA062751) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-11-04 |