| 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 | 2025-11-06 |