| NPI | 1134113871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200301110) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 21761) |
| 207Q00000X Family Medicine (Licence: SC 21761) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC 21761) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200301110) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2023-02-13 |