| NPI | 1790923761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0110005787) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003926) |
| 363A00000X Physician Assistant (Licence: VA 0110005787) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2018-03-17 |