| NPI | 1346334893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 01105) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WV 1105) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-05-26 |