| NPI | 1538133558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 0010-02678) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02678) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-03-07 |