| NPI | 1598454340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117359) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL PA9117359) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-08-22 |