| NPI | 1164405445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A75415) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A75415) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A75415) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2024-01-14 |