| NPI | 1881741346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX PA04403) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA04403) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-11-07 |