| NPI | 1013163963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 11358) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL10954) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 7357) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2020-10-13 |