| NPI | 1154525822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 201100636) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200000984) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-05-24 |