| NPI | 1720606130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MA061686) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055-0031682) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-07-18 |