| NPI | 1508472937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HSE29967) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 001051-P.A.) |
| 207V00000X Obstetrics & Gynecology (Licence: FL HSE29967) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2021-09-14 |