| NPI | 1851037006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 62073) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-06-26 |