| NPI | 1740922178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0110008565) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-05-24 |