| NPI | 1740957281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MA062852) |
| 208M00000X Hospitalist (Licence: PA MA062852) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-03-31 |