| NPI | 1144336975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301082146) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI CW082146) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-07-31 |