| NPI | 1629303524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 0010-13040) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 1810) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-10-16 |