NPI | 1255876801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MA060628) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06923) |
Enumeration Date | 2017-01-05 |
Last Update Date | 2024-08-30 |