| NPI | 1699336503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA210565) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX PA13399) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2022-07-19 |