| NPI | 1386872315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ AZ3004) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS 10945) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-03-07 |