| NPI | 1073051892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 25238) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301073267) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-11-02 |