| NPI | 1558620856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR PA-476) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR P-T1217) |
| 363A00000X Physician Assistant (Licence: AR PA-476) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2019-03-11 |