| NPI | 1518606813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9116677) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 9116677) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-01-18 |