| NPI | 1891411971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC 200001552) |
| Additional Taxonomies | 163WR1000X Registered Nurse Reproductive Endocrinology/Infertility (Licence: PA 709574) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |