NPI | 1235834342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301514147) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301514147) |
207V00000X Obstetrics & Gynecology (Licence: MI 4351051311) | |
Enumeration Date | 2023-03-31 |
Last Update Date | 2025-10-01 |