| NPI | 1942739131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 208M00000X Hospitalist (Licence: NE 2132) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-08-25 |