| NPI | 1790777340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA535) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY PA535) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-04-24 |