| NPI | 1871091058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 2196) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 2196) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-07-01 |