| NPI | 1376992354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56517) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 56517) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-02-23 |