| NPI | 1558306340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 3742) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 01252) |
| 363AM0700X Physician Assistant, Medical (Licence: CT 001252) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2018-10-26 |