| 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 |