| NPI | 1396896114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 22484) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD22484) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-16 |