| NPI | 1982716353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9101894) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL PA9101894) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL PA9101894) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-25 |