| NPI | 1356316509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M11873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M-11873) |
| 207V00000X Obstetrics & Gynecology (Licence: ID M11873) | |
| 207V00000X Obstetrics & Gynecology (Licence: NE 22912) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-04-01 |