NPI | 1306286117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 7469) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 6857) |
363AM0700X Physician Assistant, Medical (Licence: GA 2501) | |
363AM0700X Physician Assistant, Medical (Licence: AZ 7469) | |
Enumeration Date | 2013-06-26 |
Last Update Date | 2024-10-16 |