| NPI | 1366055808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 0010-10906) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10906) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-12-18 |