| NPI | 1194159319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 96785) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A132106) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A132106) | |
| 207Q00000X Family Medicine (Licence: CA A132106) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2026-06-15 |