| NPI | 1669629176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0110002863) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002863) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-03-01 |