| NPI | 1104415322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD C0007746) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-14 |