| NPI | 1386798171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 200700068) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2007-00068) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NC 2007-00068) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-01-16 |