| NPI | 1124530431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07614) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NC 001007614) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-03-23 |