| NPI | 1568980548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 6822) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-08-19 |