| NPI | 1740814441 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA1586)  | 
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AL PA.1586)  | 
| Enumeration Date | 2020-03-03 | 
| Last Update Date | 2023-03-09 |