| NPI | 1073184230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117808) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 02674301) |
| 363A00000X Physician Assistant (Licence: NY 026743) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-11-17 |