| NPI | 1194895482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003496) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 3496) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-09-12 |