| NPI | 1083726194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 150105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 150105) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-01-10 |