| NPI | 1528033081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 24716) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: SC 24716) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2019-03-25 |