| NPI | 1194377010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO PA.0005832) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-09-20 |