| NPI | 1528173028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 2942) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 2942) |
| 363A00000X Physician Assistant (Licence: IL 085002618) | |
| 363A00000X Physician Assistant (Licence: OK 2942) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-09-25 |