| NPI | 1497359707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10727) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 0010-10727) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2023-08-17 |