| NPI | 1164403986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4231) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 4231) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-11-02 |