| NPI | 1225127491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10041) |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS10041) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A5106) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-07-12 |