| NPI | 1710559125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 0010-11372) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-11372) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-09-27 |