| NPI | 1417979220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C50000618) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD C0002871) |
| 363A00000X Physician Assistant (Licence: IN 10004210A) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-12-21 |