| NPI | 1316273485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002314) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 002314) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2010-12-14 |