| NPI | 1023217437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301072467) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301072467) |
| 208D00000X General Practice (Licence: MI 4301072467) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-11-01 |