| NPI | 1063602597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C138169) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 12766) |
| 207Q00000X Family Medicine (Licence: NV 12766) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 138169) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-02-28 |