NPI | 1629590187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MA PA6669) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6669) |
Enumeration Date | 2017-07-16 |
Last Update Date | 2024-11-01 |