| NPI | 1962185504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA AO006568) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA006568) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-12-28 |