| NPI | 1265087746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC829) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY TC829) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-04-14 |