| NPI | 1003228628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-01379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME134078) |
| 207V00000X Obstetrics & Gynecology (Licence: MI L226170) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-04-08 |