| NPI | 1063006872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15514) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 0010-15514) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-10-14 |