| NPI | 1538327945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL PA9107485) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107485) |
| 172V00000X Community Health Worker (Licence: FL AL2077) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-05-28 |