| NPI | 1275852105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61133304) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 26469) |
| 207Q00000X Family Medicine (Licence: WA MD61133304) | |
| 207Q00000X Family Medicine (Licence: AK 192396) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2023-06-09 |