| NPI | 1477264752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD C0008695) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0008695) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-01-03 |