NPI | 1104188697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 178891) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 982) |
207Q00000X Family Medicine (Licence: AL MD34378) | |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 34378) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2022-08-19 |