| NPI | 1407409550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL PA9112168) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112168) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-01-04 |