| NPI | 1194454967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 1194877) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CT 1194877) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-06-25 |