| NPI | 1376784918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006463) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C5-0000659) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2018-06-18 |