| NPI | 1821157132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO PA.0003605) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05068) |
| 363A00000X Physician Assistant (Licence: CO PA.0003605) | |
| 363A00000X Physician Assistant (Licence: WI 5875) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-10-26 |