| NPI | 1487137717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6721) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA PA6721) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-03-14 |