| NPI | 1184791725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 2015108) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301116178) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101237764) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-07-26 |