| NPI | 1003229774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1844) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL36666) |
| 207Q00000X Family Medicine (Licence: SC 36666) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 1844) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-07-07 |