NPI | 1255536405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OR MD27441) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60170852) |
207V00000X Obstetrics & Gynecology (Licence: OR MD27441) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2025-07-14 |