| NPI | 1831844018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12427) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 0010-12427) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-11-21 |