| NPI | 1467194753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1924) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL P.A.1924) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-02-28 |