| NPI | 1033105291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 32508) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 32508) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 32508) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2019-04-23 |