| NPI | 1487805495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2888-23) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 288823) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2025-09-23 |