| NPI | 1659410983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 5177) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: UT 57597411206) |
| 363AM0700X Physician Assistant, Medical (Licence: UT 57597411206) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-05-20 |