| NPI | 1518316611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60943336) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0006289) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60943336) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-03-17 |