| NPI | 1740356708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA PA16074) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16074) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-10-24 |