| NPI | 1043312747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 19240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 19240) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2022-04-06 |