| NPI | 1376320788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9117907) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL PA9117907) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-01-26 |