| NPI | 1598838286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MA002620L) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0000423) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA002620L) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-04-22 |