| NPI | 1730621152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL UO10128) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004829) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2024-06-20 |