| NPI | 1457833907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4318) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 4318) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-01-13 |