| NPI | 1700577319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 0010-13971) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-02-12 |