| NPI | 1083753768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 52016) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101053176) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 52016) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-12-21 |