| NPI | 1467499327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103127) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 103127) |
| 363AS0400X Physician Assistant, Surgical (Licence: AL PA-303) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-02-08 |