NPI | 1750305397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005354) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD C0005354) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2024-10-21 |