| NPI | 1154393528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1503) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3788) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 3788) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2021-03-17 |