| 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 |