| NPI | 1548502586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60905527) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MS 25337) |
| 207Q00000X Family Medicine (Licence: MS 25337) | |
| 207Q00000X Family Medicine (Licence: SC 39229) | |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2025-11-26 |