| NPI | 1184103764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060011) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OA004573) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MA060011) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-08-31 |