| NPI | 1588200083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-01-23 |