| NPI | 1972661874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13353) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 13353) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA PA13353) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-03-07 |