| NPI | 1306073986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301107638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML60095995) |
| 207Q00000X Family Medicine (Licence: OH 35.099728) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301107638) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-08-24 |