| NPI | 1457025793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011609) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE 00000000) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-10-03 |