| NPI | 1780829895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO PA.0004387) |
| 208800000X Urology (Licence: AZ 4593) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2020-11-16 |