| NPI | 1154362291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD18070) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR MD18070) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-01-05 |