| NPI | 1225249725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2014-00081) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-00081) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD028746E) | |
| 208D00000X General Practice (Licence: NC 2014-00081) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-10-06 |