| NPI | 1134788425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508630) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351045058) |
| 208D00000X General Practice (Licence: MI 4301508630) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-04-22 |