| NPI | 1447921879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95018500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 95018500) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |