| NPI | 1306394218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 303673) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 303673) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2022-11-10 |