| NPI | 1568124253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM PA2022-0081) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2022-0081) |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2024-10-29 |