| NPI | 1659945087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 2500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 2500) |
| 208M00000X Hospitalist (Licence: WV 2500) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-06-26 |