| NPI | 1225057011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD13329) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OR MD13329) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-02-11 |