| NPI | 1699481978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 100599) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-03-10 |