| NPI | 1932680063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 9126) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-06-18 |