| NPI | 1124865209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 0010-14407) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-08-22 |