| NPI | 1467818112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0088365) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY P99924) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-03-03 |