NPI | 1588912943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001430A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001430A) |
208M00000X Hospitalist (Licence: IN 10001430A) | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-05-31 |