| NPI | 1619429503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 53806) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 53806) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2024-10-09 |