| NPI | 1811587272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 3860) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-01-09 |