| NPI | 1407826225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101233021) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101233021) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-05-20 |