| NPI | 1396201927 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 0010-11364)  | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| Enumeration Date | 2019-02-19 | 
| Last Update Date | 2022-11-16 |