| NPI | 1669982849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059301) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MA059301) |
| 363A00000X Physician Assistant (Licence: TX PA14339) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-07-27 |