| NPI | 1881180198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059866) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MA059866) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MA059866) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MA059866) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-08-30 |