| NPI | 1184243057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ TP8091) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-06-26 |