NPI | 1659003465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA PA63558) |
Enumeration Date | 2022-06-29 |
Last Update Date | 2023-11-09 |