| NPI | 1144510926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02940) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: NC 0010-02940) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 0010-02940) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2025-11-21 |