| NPI | 1154595254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 73609) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 73609) |
| 207V00000X Obstetrics & Gynecology (Licence: AL 29615) | |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 41296) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME122976) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2025-09-05 |