| NPI | 1053829796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-006896) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006734) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0110-006896) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2025-12-23 |