NPI | 1578231411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MA062864) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062864) |
Enumeration Date | 2021-09-04 |
Last Update Date | 2021-11-09 |