| NPI | 1235834342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301514147) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351051311) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2025-05-15 |