| NPI | 1902638943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 8077-23) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 8077-23) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-09 |