| NPI | 1942719216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-58470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT MED-PAC-LIC-58470) |
| 207Q00000X Family Medicine (Licence: MT MED-PAC-LIC-58470) | |
| 207R00000X Internal Medicine (Licence: MT MED-PAC-LIC-58470) | |
| 208M00000X Hospitalist (Licence: MT MED-PAC-LIC-58470) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2020-12-13 |