| NPI | 1518278118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: WV 2907) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 2907) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-06-13 |