| NPI | 1649797010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115382) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 8434) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL 9115382) | |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2022-09-14 |