| NPI | 1437718731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 56869) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA 56869) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-12-03 |