NPI | 1629781901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007712) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO PA.0007712) |
Enumeration Date | 2023-01-02 |
Last Update Date | 2025-05-27 |