| NPI | 1528403359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 38794) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT203455) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-03-16 |