| NPI | 1700449311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56362) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 56362) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 56362) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-11-08 |