| NPI | 1194790345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 4505) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: AK 4505) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-06-26 |