| NPI | 1124805536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA PA64136) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-03-06 |