| NPI | 1306331442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 2842) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 2842) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 2842) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-07-25 |